Individual provider Active NPI

Kristin Hangge, FNP

  • Family Nurse Practitioner
  • Roseville, MN
National Provider Identifier
1659569184
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 4753 Issued in MN
Practice address
1515 County Road B W
Roseville, MN 55113-6005
Phone
(480) 318-4980
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP2782 AZ
Family Nurse Practitioner 363LF0000X CNP 4753 MN Primary

Addresses

Primary practice location

1515 County Road B W
Roseville, MN 55113-6005

Mailing address

1515 County Road B W
Roseville, MN 55113-6005
Phone (480) 318-4980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607000303 MN Practitioner - Nurse Practitioner 4688750862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians

Practice addresses (Care Compare)

1515 County Rd B W
Roseville, MN 55113-6005
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP2782AZMDFamily Nurse Practitioner
CNP 4753MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince May 4, 2017 Accepting new patients
Minuteclinic Primary Care Minnesota PLLC Family CurrentSince Apr 1, 2025 Accepting new patients

Locations

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

1010 W Lake St
Minneapolis, MN 55408
Phone (612) 822-1297

1515 County Road B W
Saint Paul, MN 55113
Phone (651) 631-0330

1040 Grand Ave
Saint Paul, MN 55105
Phone (651) 224-2155

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1659569184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 COUNTY ROAD B W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136005",
            "telephone_number": "480-318-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 COUNTY ROAD B W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136005",
            "telephone_number": "480-318-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANGGE",
        "first_name": "KRISTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2782",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.